Collaborative Psych & Med

LBN: Collaborative Psych & Med
Collaborative Psych & Med is an health care organization with primary practice located at 4406 S Florida Ave Ste 31 , Lakeland FL 33813-2176. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is the primary health care specialty. Collaborative Psych & Med can be contacted via phone (855) 732-5292, or through Wood, Kelly via phone (855) 732-5292.

Contact Information

Primary practice address
4406 S Florida Ave Ste 31 Lakeland FL 33813-2176
Phone: (855) 732-5292
Fax: (863) 583-9926
Website:
Map and Directions
Authorized official contact:
Name: Wood, Kelly Bachelor of Social Work (BSW)
Phone: (855) 732-5292

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X

Profile Details

NPI number 1972088912
LBN Legal business name Collaborative Psych & Med
DBA Doing business as
Authorized official Wood, Kelly Bachelor of Social Work (BSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2018
Last updated Sep 26th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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